1. Hyponatremia
1.1. Symptoms
1.1.1. Weakness
1.1.2. Fatigue
1.1.3. Confusion
1.1.4. Muscle twitching
2. Treatment of burn
2.1. IV normal saline
2.1.1. To restore electrolyte imbalance
2.2. 50mg of pethidine IV
2.3. Burn dressing
2.3.1. To cover up the wound and prevent germs from infecting the affected area
2.3.1.1. Example of bacteria that cam infect the wounded skin
2.3.1.1.1. Clostridium tetani
2.3.1.1.2. Staphylococcus aureus
2.4. Anti-tetanus injection
2.4.1. Prophylactic antibiotics
2.4.2. To give immunity to Puan Aminah so that she does not get infected by Tetanus
2.5. Skin grafting
2.5.1. Mesh graft
2.5.1.1. Graft taken from patient’s heathy skin
2.5.1.1.1. Skin is meshed to cover a large wound
2.5.2. Sheath graft
3. Puan Aminah’s mental health
3.1. Appears agitated and teary
3.1.1. She is worried about her 9 month old baby left at home
3.2. Blood pressure of 140/80 mmHg
3.2.1. She is stressed
3.3. Feels insecure about her appearance
3.3.1. She is referred to a Psychologist for counselling
4. Skin of arms and chest
4.1. Erythematous
4.1.1. Vasodilation of local blood vessels increases blood flow to the site
4.1.1.1. Area of injury becomes red
4.2. Oedematous
4.2.1. Increase in vascular permeability
4.2.1.1. Increased interstitial osmotic pressure in burnt tissues
4.2.1.1.1. Causes cellular oedema
4.3. Blistering
4.3.1. Increased capillary permeability
4.3.1.1. Release of fluid, blood clotting elements and phagocytes
4.3.1.1.1. Blood clotting elements will wall off inflamed area
5. Lab results from first examination:
5.1. Normal Sodium level (138 mmol/L)
5.2. Normal Potassium level (4.2 mmol/L)
5.2.1. After a day
5.2.1.1. Elevated Potassium level (6.4 mmol/L)
5.2.1.1.1. Hyperkalemia
6. Thermal burn
6.1. Areas affected
6.1.1. Epidermis
6.1.2. Dermis